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Accra, Ghana

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A water spigot used for drinking and washing dishes in Accra.

Trash and floodwater in a crowded neighborhood in Accra.

Public toilets in Accra.

This public toilet discharges directly into an open hole. During a heavy rainfall, this pool will flood and seap into the surrounding soil and environment.

The discharge from this public toilet creates a stream that flows through the environment. This waste receives no treatment and is not covered to protect people from coming into contact with it.

A child looks for something while standing in an open drain that contains trash and fecal matter.

Dr. Moe chooses her steps carefully as she crosses over floodwater in Accra.

Open drains are abundant throughout the city of Accra.

These open drains are visibly filled with trash. The pollution prevents wastewater from draining properly, causing overflows during heavy rainfall events.

Children walking through polluted floodwater in flip flops.

An open drain carrying trash discarhges directly into the ocean.

Pigs roam freely around on the beach. This pig has found a pipe discharge fecal sludge directly onto the beach.

The feces from these pigs enters the ocean, while nearby children and adults swim and play in the water.

An example of a water source that would be sampled during a deployment.

Materials and trash left out create obstacles for people using the public toilets.

Contaminated wastewater flows through a large open drain system, receiving little to no treatment before reaching the ocean.

Trash in open drains is a major problem in Accra.

These open drains are dry but still filled with trash. Notice the goats nearby, which is typical to see in Accra. Excrement from animals also leads to fecal exposure in the environment.

Standing floodwater mixes with trash to create a thick sludge that people come into contact with as they walk around their city.

A pipe covered with a loose piece of cement in Accra.

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